Active NPI
Kathleen A Earle, PT
- Physical Therapist
- Mansfield, OH
National Provider Identifier
1881952174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4081
- Practice address
- 1256 Warner Ave
Mansfield, OH 44905-2619 - Phone
- (419) 589-2238
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4081 | OH | Primary |
Addresses
Primary practice location
1256 Warner Ave
Mansfield, OH 44905-2619
Mailing address
PO Box 262
Lagrange, OH 44050-0262
Phone (440) 865-2627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4081 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1881952174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 262",
"city": "LAGRANGE",
"state": "OH",
"postal_code": "440500262",
"telephone_number": "440-865-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 WARNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449052619",
"telephone_number": "419-589-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLE",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT4081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.